# CROSSROADS FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710917760
- **Authorized official:** ROBERT J KELLETT M.D. (OWNER)
- **Authorized official phone:** (423) 202-1703

## Contact information

- **Practice address:** 950 BAKER HWY, HUNTSVILLE, TN 37756-4168
- **Practice address phone:** (404) 266-9876
- **Practice address fax:** (404) 266-2669
- **Mailing address:** 950 BAKER HWY, HUNTSVILLE, TN 37756-4168
- **Mailing address phone:** (404) 266-9876
- **Mailing address fax:** (404) 266-2669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000038388 | TN | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/22/2020